Doctor Name: | DR. GAIL MAUREEN IHLE |
NPI Number: | 1003908211 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 517 |
Business Practice Address: | 610 J Street Suite 320 Lincoln, NE - 685082967 |
Business Phone Number: | 4024351313 |
Business Fax Number: | 4024355056 |
Mailing Address: | 610 J Street, Suite 320 LINCOLN |
State: | NE |
Postal Code: | 685082967 |
Phone Number: | 4024351313 |
Fax Number: | 4024355056 |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 04/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 517 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |